Individual
DIANE E HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12225 GREENVILLE AVE, DALLAS, TX 75243-9362
(214) 575-9820
Mailing address
12225 GREENVILLE AVE, DALLAS, TX 75243-9362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1106193
TX
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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